Post-traumatic Stress Symptoms in Adolescents Exposed to the Earthquake in Lombok, Indonesia: Prevalence and Association With Maladaptive Trauma-Related Cognition and Resilience
Abstract:Background: Natural disasters may physically and psychologically affect individuals and their surrounding community. This study determines the prevalence of post-traumatic stress (PTS) symptoms and its association with maladaptive trauma-related cognition and resilience among adolescents post-earthquake.Materials and Methods: Data were collected, in this cross-sectional study, during an intervention program post-earthquake held in a state high school located at Lombok, Indonesia. The study sample engaged stude… Show more
“…The high level of stress in adolescents affected by disasters depends on the time span between the event of the disaster and the time of evaluation, the region and quality of life, the severity of the disaster experienced, the level of education, the loss of immediate family or friends, the social support received and the perception of the acceptance of such social support [13] The results showed that adolescent girls have more depression than adolescent boys. These results are corroborated by other studies [14] which show that women are more vulnerable to developing symptoms of post-disaster stress due to high fear of threats.…”
Coastal flooding is one of the disasters that regularly occur in Indonesia, especially in coastal areas. Like other disasters such as earthquakes and mountain eruptions, the coastal flooding disaster has an unfavorable psychological impact on disaster survivors. However, it is not yet known for certain the impact of coastal flooding on the psychological survivors and the help needed by them. The purpose of this study was to analyze the psychological needs of coastal flooding disaster survivors and formulate the recommended psychological help. The research method used a cross-sectional survey. The instrument used is the Harvard Trauma Questionnaire (HTQ) with 25 items and four aspects which include: (1) A picture of the trauma experienced by survivors; (2) Subjective descriptions of the most severe traumas; (3) Events related to head injuries; and (4) Symptoms of Post-Traumatic Stress Disorder. Questionnaires were distributed to 122 high school students who were affected by the coastal flooding. The data analysis technique used is a descriptive statistic, which is by using the help of the SPSS 25 application. The results showed that the level of stress caused by tidal flooding was 42.8% and depression was 39.%. Based on gender, women have a higher level of depression than men. Recommendations for psychological assistance are creative counseling which includes music, bibliotherapy, and cinematherapy.
“…The high level of stress in adolescents affected by disasters depends on the time span between the event of the disaster and the time of evaluation, the region and quality of life, the severity of the disaster experienced, the level of education, the loss of immediate family or friends, the social support received and the perception of the acceptance of such social support [13] The results showed that adolescent girls have more depression than adolescent boys. These results are corroborated by other studies [14] which show that women are more vulnerable to developing symptoms of post-disaster stress due to high fear of threats.…”
Coastal flooding is one of the disasters that regularly occur in Indonesia, especially in coastal areas. Like other disasters such as earthquakes and mountain eruptions, the coastal flooding disaster has an unfavorable psychological impact on disaster survivors. However, it is not yet known for certain the impact of coastal flooding on the psychological survivors and the help needed by them. The purpose of this study was to analyze the psychological needs of coastal flooding disaster survivors and formulate the recommended psychological help. The research method used a cross-sectional survey. The instrument used is the Harvard Trauma Questionnaire (HTQ) with 25 items and four aspects which include: (1) A picture of the trauma experienced by survivors; (2) Subjective descriptions of the most severe traumas; (3) Events related to head injuries; and (4) Symptoms of Post-Traumatic Stress Disorder. Questionnaires were distributed to 122 high school students who were affected by the coastal flooding. The data analysis technique used is a descriptive statistic, which is by using the help of the SPSS 25 application. The results showed that the level of stress caused by tidal flooding was 42.8% and depression was 39.%. Based on gender, women have a higher level of depression than men. Recommendations for psychological assistance are creative counseling which includes music, bibliotherapy, and cinematherapy.
“…Similarly, PTSD, one of the stress-related disorders, was described as the most common psychological disease after a disaster. 86,87 Murray 79 addressed displaced refugees’ children who could be affected by PTSD due to an extended length of nightmares, sorrowful reactions, negligence, social withdrawal, psychological stress, and interrupted sleep. A considerable rise in stress levels was identified in IDPs living in temporary housing following the complex disaster resulting from the earthquake and tsunami that led to the Fukushima Daiichi Nuclear Power Plant accident (FDNPP accident); these levels are positively correlated to the length of time living in temporary housing.…”
Forcibly displaced populations are among the most vulnerable groups in disasters. They experience poorer health conditions compared with nondisplaced individuals. However, a clear picture is lacking regarding the overall health problems encountered by disaster-induced mid- to long-term displaced people. This study investigated these disorders prevalence and identified their correlates among long-settled displaced populations worldwide. The current scoping review follows the PRISMA-ScR guidelines; a systematic search was conducted on PubMed, Web of Science, and CINAHL and included original peer-reviewed studies, commentary, reviews, and grey literature published in English between January 1990 to June 2022. In the thematic and content analysis, the authors applied the narrative review approach to identify themes and sub-themes. Forty-eight documents were identified as fully relevant to this study. The largest number of published papers were from Asia, followed by the Middle East, the United States, and Europe. IDPs in developed countries were the most researched populations. Human-made disasters were addressed by 89% of the included studies. The four main thematic categories included were “physical health,” “mental health,” “inadequate facilities,” and “lack of healthy behaviour.” The worsening of noncommunicable diseases had the highest prevalence, followed by communicable diseases. Due to their condition, forcibly displaced migrants face a triple burden of communicable diseases and noncommunicable diseases such as mental health issues. Health-related research and policy need to consider the links among disasters, health problems, and forced migration as a determinant of health in the new era of climate change-driven displacements.
“…Children might develop negative beliefs about themselves, including a negative self-view [46]. Traumatic experiences might also contribute to a negative worldview [4,[46][47][48]. Addressing post-traumatic cognitions is fundamental in helping children recover from the impact of traumatic experiences, and TF-CBT intends to identify maladaptive cognitions and help children develop more adaptive thought patterns and coping mechanisms [10,[48][49][50][51][52][53].…”
Section: Post-traumatic Cognitionsmentioning
confidence: 99%
“…Traumatic experiences like abuse, natural disasters, or loss of loved ones, may result in numerous harmful consequences on mental health [1][2][3][4], 2.6 times increasing the risk of depressive disorders [5], not to mention post-traumatic stress disorder (PTSD) [6,7].…”
Previous studies suggested that trauma-focused cognitive behavior therapy (TF-CBT) is effective in reducing symptoms of post-traumatic stress disorder (PTSD) and depression in children and adolescents. However, the effects of app-assisted TF-CBT-based interventions in psychiatric clinics compared to treatment-as-usual (TAU) are under-explored. The purpose of this study was to reveal the added value of the app-assisted TF-CBT-based intervention as an add-on to TAU. The digitalized measures of the Child and Adolescent Trauma Screen (CATS), The Adolescent Dissociative Experience Scale (A-DES), Short Moods and Feelings Questionnaire (SMFQ), PTSD Checklist (PCL-5), and Children's Post-Traumatic Cognitions Inventory (CPTCI) were applied at baseline and post-treatment. The app-assisted TF-CBT-based group participants started with higher levels of negative alterations in cognition and mood compared to TAU participants but at post-treatment, no significant differences were observed between the app-assisted TF-CBT and TAU groups. Within the app-assisted TF-CBT group, post-treatment scores were significantly lower in post-traumatic stress symptoms, intrusion symptoms, alterations in arousal and reactivity, overall post-traumatic cognitions, and belief in being "a fragile person in a scary world”. Within the TAU group, post-treatment scores were notably lower just in dissociation and intrusion symptoms. The study suggests that app-assisted TF-CBT-based intervention can be effective in addressing specific trauma-related symptoms. The findings imply the necessity for screening for traumatic experiences, incorporating trauma-informed care, implementation of TF-CBT into treatment protocols, utilization of app-assisted interventions, tailoring interventions to individual needs, and comprehensive assessment and monitoring of treatment progress.
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